Gastrointestinal leakage after gastrectomy for gastric cancer
10.3760/cma.j.issn.1007-631X.2010.03.011
- VernacularTitle:胃癌切除术后胃肠道瘘的治疗
- Author:
Yun TANG
;
Rong LI
;
Lin CHEN
;
Bo WEI
;
Xiansheng WU
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Gastric fistula;
Intestinal fistula;
Gastrectomy;
Nutritional support
- From:
Chinese Journal of General Surgery
2010;25(3):205-208
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the treatment experiences in gastrointestinal leaJcage atter gastrectomy for gastric cancer. Mehods From January 1997 to December 2006 the clinical data of 37 cases of gastrointestinal leakage including anastomotic leakage in 19 cases and duodenal stump leakage in 18 after gastrectomy for gastric cancer in People's Liberation Army General Hospital were analyzed retrospectively. Results All of the Cases were treated with abdominal drainage,continuous gastrointinal decomnression and parenteral nutrition combined with enteral nutrition.There were 32 cases receiving glutamine enrichment nutrition support,31 ases used somatostatin,13 cases received supplemented recombinarlt human growth hormone.Fistula healed in 21～30 d in 9 cases after gastrectomy,in the other 24 cases fistula healed in 30-60 d,while it healed in 60～81 d in the remaining 2 cases.Two died of leakage associated complications after gastrectomy for gastric cancer including anastomotlc leakage follwing esophagojejunostomy complicated by severe thoracic and lung infection in one and duodenal stump leakage complicated by severe abdominal cavity sepsis and hemorrhage in the other. Conclusion Patent and effective abdominal cavity drainage,continuous gastrointestinal decompression,parenteral nutrition combined with enteral nutrition,glutarnine,somatostafin and recombinant human growth hormone are the'mportant factors for the healing of gastrointestinal leakage after gastrectomy tor gastric cancer.
